Effects of pomegranate seed oil on insulin release in rats with type 2 diabetes.

Background: Pomegranate seed oil and its main constituent, punicic acid, have been shown to decrease plasma glucose and have antioxidant activity. The objective of the present study was to examine the effects of pomegranate seed oil on rats with type 2 diabetes mellitus. Method: Six groups (n=8 each) of male Sprague-Dawley rats, comprising a control, a diabetic (induced by Streptozocin and Nicotinamide) receiving water as vehicle, a diabetic receiving pomegranate seed oil (200 mg/kg/day), a diabetic receiving pomegranate seed oil (600 mg/kg/day), a diabetic receiving soybean oil (200 mg/kg/day), and a diabetic receiving soybean oil (600 mg/kg/day), were used. After 28 days of receiving vehicle or oils, blood glucose, serum levels of insulin, malondialdehyde, glutathione peroxidase, and lipid profile were determined. Results: The diabetic rats had significantly higher levels of blood glucose, serum triglyceride, low-density lipoprotein cholesterol, total cholesterol, and malondialdehyde and lower levels of serum insulin and glutathione peroxidase. Rats treated with pomegranate seed oil had significantly higher levels of serum insulin and glutathione peroxidase activity, and there were no statistically significant differences in terms of blood glucose between them and the diabetic control group. Conclusion: The findings of the present study suggest that pomegranate seed oil improved insulin secretion without changing fasting blood glucose.


Introduction
Pomegranate seed oil and type 2 diabetic rats Iran J Med Sci March 2014; Vol 39 No 2 ameliorating high fat diet-induced obesity and insulin resistance. 6,7 In line with these findings, pure free isolated punicic acid decreased fasting plasma glucose and improved glucose normalizing ability. 8 Moreover, PSO was shown to have antioxidant activity 9,10 and favorable effects on lipid profiles in hyperlipidemic subjects. 11 Type 2 diabetes has been induced in rats by the administration of Nicotinamide and Streptozocin. 12 The model was associated with increased serum glucose, decreased serum insulin, and lipid metabolism disorder. 12 A literature review demonstrates that there is no published study examining the effects of PSO in an experimental model of diabetes. Therefore, the present study was designed to investigate the effects of PSO on the serum levels of glucose, insulin, malondialdehyde (MDA), glutathione peroxidase, and lipid profile in this model. To account for the difference in energy intake, similar doses of soybean oil (SBO) were also used.

Chemicals
Streptozotocin (Keocyt, Val de Reuil, France), Nicotinamide (Sigma-Aldrich St Louis, MO, USA), PSO (Techno Parse Company, Tehran, Iran), and unpurified SBO (Animal Food Industry, Shiraz, Iran) were used. The oils were stored in a refrigerator (2-8°C) and protected from light during the study. Streptozocin and Nicotinamide were dissolved in distilled water.

Ethical Approval
The study was approved by the Ethics Committee of Shiraz University of Medical Sciences, Shiraz, Iran, and the animals were kept in accordance with the University guidelines on the use and care of animals in research.

Experimental Design and Protocol
This experimental study was performed at Shiraz University of Medical Sciences in a period from June 2012 to November 2013. Male Sprague-Dawley rats were randomly assigned to control and type 2 diabetic groups. Type 2 diabetes was induced in overnight-fasting animals by single intraperitoneal (IP) injections of Streptozocin (65 mg/kg), 15 min after the IP administration of Nicotinamide (100 mg/kg). Seven days after the injection, rats with a fasting blood glucose level>126 mg/dl were considered type 2 diabetes and those with lower levels were discarded. 12 The control rats (n=8) were assigned to receive water as vehicle. The type 2 diabetic rats were randomly assigned to the five groups (n=8 each) of a vehicle-treated group receiving 400 mg/kg/ day water, a PSO-treated group (200 mg/kg/day), a PSO-treated group (600 mg/kg/day) an SBOtreated group (200 mg/kg/day), and an SBOtreated group (600 mg/kg/day). Water, PSO, and SBO were given by gavage for 28 days. SBO was used to account for energy balance between the two experimental groups. During treatment, the rats were weighed weekly, and the dose of the oils was adjusted accordingly. At the end of the treatment period, the overnight-fasting rats were anaesthetized by a single intraperitoneal injection of Thiopental (70 mg/kg). Blood samples were collected by cardiac puncture and centrifuged at 3000 rpm for 10 min. The sera were collected, divided into micro-tubes, and kept frozen at -70 °C until analysis.

Statistical Analysis
The data, expressed as mean±SD, were first examined for normality of distribution. As they were normally distributed, they were analyzed Iran J Med Sci March 2014; Vol 39 No 2 using the one-way analysis of variance (ANOVA), followed by the Duncan Multiple Range test for pairwise comparisons. A P≤0.05 was considered statistically significant.

Results
Weight of the animals in the diabetic group receiving vehicle (256.9±6.7 g) was significantly (P=0.0001) lower than that of the control group (294.5±15.2 g). However, there was no significant difference between the weight of the diabetic rats receiving vehicle and those of the diabetic rats receiving 200 mg/kg/day PSO (267.9±17.2 g), 600 mg/kg/day PSO (267.9±17.2 g), 200 mg/kg/day SBO (261.4±6.7 g), or 600 mg/kg SBO (262.9±13.8 g).
Blood glucose of the diabetic rats receiving vehicle was significantly higher than that of the control rats. However, there was no significant difference between the blood glucose of the animals in the diabetic group receiving PSO (200 or 600 mg/kg) or SBO (200 or 600 mg/kg) (figure 1).
Serum insulin of the diabetic rats receiving vehicle was significantly lower than that of the controls (P=0.0001) (figure 2). Serum insulin of the diabetic rats treated with PSO (200 mg/kg) was significantly higher than that of the diabetic rats treated with vehicle (P=0.013). Moreover, serum level of insulin in the diabetic rats treated with PSO (600 mg/kg/day) was significantly higher than that of the rats treated with identical doses of SBO (P=0.05) (figure 2).  , and type 2 diabetic group receiving pomegranate seed oil at 200 mg/kg/day (PSO200) or 600 mg/kg/day (PSO600), or soy bean oil at 200 mg/kg/day (SBO200) or 600 mg/kg/day (SBO600). *Denotes significant (P<0.05) difference from the normal control group; ♦Indicates significant (P<0.05) difference from the DM2-C group; ■Denotes significant (P<0.05) difference from the SBO600-treated group Serum TG (P=0.001), total cholesterol (P=0.003), and LDL-C (P=0.05) of the diabetic control rats were significantly higher than those of the normal control groups (table 1). However, the serum HDL-C of the diabetic rats treated with vehicle was significantly lower than that of the normal control group (P=0.001). There was no significant difference between the serum levels of TG, total cholesterol of HDL-C, or LDL-C of the groups treated with POS (200 or 600 mg/kg/ day) and the diabetic control rats. Moreover, there was no significant difference between the serum levels of TG, total cholesterol, LDL-C, or HDL-C of the diabetic control and the SBO-treated (200 or 600 mg/kg/day) groups (table 1). There was also no significant difference between the effects of the two oils (PSO and SBO) on such variables.
Serum concentrations of MDA (P=0.04) and GPX (P=0.001) of the diabetic control rats were, respectively, higher and lower than those of the normal control rats (table 1). Neither PSO nor SBO affected serum MDA significantly compared to that of the diabetic control group. Neither PSO nor SBO (200 mg/kg/day) affected serum GPX significantly compared to that of the diabetic control group. However, the serum levels of the GPX of the group treated with PSO at 600 mg/ kg/day was significantly higher than those of the diabetic control group and the diabetic group treated with SBO at 600 mg/kg/day (P=0.005) (table 1).

Discussion
The findings of the present study indicate that a simultaneous administration of Nicotinamide and Streptozocin resulted in type 2 diabetes mellitus, characterized by increased blood glucose, lipid profile, and oxidative stress as well as with decreased serum insulin. They also showed that PSO increased serum insulin and decreased oxidative stress, without affecting serum lipid profile.
The present model of diabetes was associated with decreased serum insulin and increased blood glucose. Such findings are similar to those of previous studies using the same model of diabetes 15 or other models of diabetes. 16 The model was also associated with increased oxidative stress, which is similar to that of previous studies. 4,5 The findings of the present study indicate that PSO did not decrease blood glucose. To the best of our knowledge, this is the first report to evaluate the effect of PSO in an animal model of type 2 diabetes, whereas previous investigations focused mainly on hyperlipidemic 6,7,17 or normal animals 8 or hyperlipidemic subjects. 11 The lack of PSO effect on blood glucose is similar to that of previous reports. 6,7 Such a finding might be due to the presence of insulin resistance, since fat administration is associated with insulin resistance.
The study also showed that PSO increased the serum levels of insulin, but such an increase did not translate into the reduction of blood glucose level. Although the insulin secretion capacity of PSO has not been evaluated previously, improvement in insulin resistance was reported to be significant in hyperlipidemic animals. 6,7 The mechanism of a PSO-induced increase in serum insulin is not clear. However, it might not be related to the contribution of fat in that oil, since SBO at similar doses does not change the serum levels of insulin significantly. Moreover, it might be related to the upregulation of PPAR-γ responsive genes as punicic acid, the main ingredient of PSO, was shown to upregulate such genes. 8 The study showed that PSO did not change lipid peroxidation, as characterized by no change in serum MDA, but reduced the diabetes-induced oxidative stress, characterized by increased serum GPX. This study is the first of its kind to show such an activity for PSO. This finding is in agreement with a previous report demonstrating that punicic acid increased antioxidant activity against sodium arsenite-induced oxidative stress. 9 Whether or not the effect of PSO to decrease oxidative stress contributes to its PSO-increased insulin activity needs to be examined. Our study also shows that PSO did not change lipid profile in rats with type 2 diabetes. There is, however, no agreement on the effects of PSO on lipid profile, as no changes in TG, PL (phospholipid), HDL-C and TC, 7,18 and improvement of TG and TG/HDL-C ratio 11 have been reported.
The findings of the present study might be interpreted in the light of the fact that there was no previous experience with the use of PSO in experimental models of diabetes, which could limit our ability to choose more appropriate doses of PSO. Therefore, similar studies examining the effects of different doses and treatment protocol of the oil on a wider range of variables would shed more light on the issue.

Conclusion
The findings of the present study suggest that PSO improved insulin secretion without changing fasting blood glucose